Appointments | Rainbow Care

Request Appointment
(new clients):

Please note: Rainbow Care Clinic can meet your gender affirming/ hormonal health care. You will need a regular GP for your other non-hormonal primary health care needs.

Actual name

Legal name (as per Medicare) if applicable

DOB

Phone

Gender identity

Appointment type (check all/ any that apply):

Gender affirming hormonal care (nil previous treatment)

Gender affirming hormonal care (contining treatment)

Oestrogen implant

Face to face appointment

Telehealth appointment

Other (please provide details below)

Any other information you wish to provide:

By checking this box I consent to Xestro medical software sending SMS and emails from Rainbow Care Clinic for appointment reminder purposes and I understand information entered on this form may not be secure

Thanks for your request!

Rainbow Care Clinic will be in contact shortly

Please check your junk mail for replies

In the meantime please read the section:

"Important information about your appointment"

Rainbow Care Clinic

Appointments:

Request Appointment
(new clients):

Request Appointment
(previously see at RCC):

Appointments:

Request Appointment (new clients):

Request Appointment (previously see at RCC):

Request Appointment
(new clients):

Request Appointment
(previously see at RCC):